CINTAA has its membership base of over 9,000 members

Work Permit Application Form (This form is valid only for 6 months from the date of applying)

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Username (Email Address) *

Password * ( Please use a password with a length of at least 8 characters. )

Confirm Password *

First Name *

Last Name *

Screen Name

Father / Husband Name

Date of Birth *

Month

Day

Year

Place of Birth

Nationality *

Email Address *

Current Address

Address 1 *

Address 2

City *

State *

Pincode *

Country *

Primary Phone *(Only 10 digit mobile number is allowed without + and country code)

Emergency Phone *

Alternate/Relative Phone

Aadhar Card No *

Pan Card No *

Permanent Address

Same as Current Address

Address 1 *

Address 2

City *

State *

Pincode *

Country *

Height (in cms.)

Weight (in Kgs.)

Gender *

Male

Female

Marital Status

Married

Unmarried

Mother Tongue

Blood Group

Academic Qualification

Do you have a mediclaim policy?

Yes

Languages Known

Awards/achievements

Yes

Work Experience *

Details of Distinctions or Awards won before joining Film & TV Industry

Audition Youtube link or email your audition video to enroll@cintaa.net *

To play character of

I have been signed by

Audition Youtube link or email your audition video to enroll@cintaa.net *

Details of Certificate *

Institute *

Valid Degree Proof *

Choose file

(Allowed file types are jpg, jpeg, png, pdf only). File size should be less than 2MB

Film / TV Serial Name *

Video Link *

Character Played *

Starting Time*

Film / TV Serial Name *

Video Link *

Character Played *

Starting Time *

Are you a member of any other Film crafts Association?

Yes

Collection of Card *

Courier

Will Collect from Office

Details of membership affiliated

Membership Number

Profile Picture

Choose file

(Allowed file types are jpg, jpeg, png only). File size should be less than 2MB

Passport size photo *

Choose file

(Allowed file types are jpg, jpeg, png, pdf only). File size should be less than 2MB

Age Proof *

Choose file

(Allowed file types are jpg, jpeg, png, pdf only). File size should be less than 2MB.
Accepted Age proof Documents: Pan card or Passport.

Current Address Proof *

Choose file

(Allowed file types are jpg, jpeg, png, pdf only). File size should be less than 2MB.
Accepted Address proof documents: Aadhar card/ Rent Agreement/Electricity Bill/Telephone Bill.

Permanent Address Proof *

Choose file

(Allowed file types are jpg, jpeg, png, pdf only). File size should be less than 2MB.
Accepted Address proof documents: Aadhar card/ Rent Agreement/Electricity Bill/Telephone Bill.

Membership Type/ सदस्यता के प्रकार	Admission Fees**/ प्रवेश शुल्क	Validity/वैधता	Late Fees**/लेट फीस
First year work-permit/प्रथम वर्ष वर्क परमिट	Rs. 10,000	1 year (From the date of issue of work-permit card)/एक वर्ष (वर्क परमिट कार्ड जारी होने की तिथि से)
Second year work-permit/द्वितीय वर्ष वर्कपरमिट	Rs. 10,000	1 Year/एक वर्ष	Late fees of Rs. 500/- pm would be levied after 30 days from the date of expiry of 1st year work-permit, subject to and restricted to a maximum of 12 months. Failure to renew your work permit within 12 months will cease your membership and you will have to reapply for fresh membership all over again./ लेट फीस रु 500 प्रति महीना प्रथम वर्ष के वर्क-परमिट की समाप्ति की तारीख से 30 दिनों के बाद लगाई जाएगी, जो अधिकतम 12 महीने तक सीमित और प्रतिबंधित होगी। 12 महीनों के भीतर अपने वर्क परमिट को नवीनीकृत करने में विफलता, आपकी सदस्यता समाप्त कर देगी और आपको फिर से नई सदस्यता के लिए, फिर से आवेदन करना होगा।
3rd year i.e. Regular membership Entrance fees/तृतीय वर्ष अर्थात नियमित सदस्यता प्रवेश फी	Rs. 10,000/-* plus one time members welfare fund of Rs. 500/- and subscription fees @ Rs. 100/- per month/ रु. 10,000/-* + एकही बार लगनेवाली कल्याण निधि रु. 500/- + रु. 100/प्रति महीना की दर से मासिक सब्सक्रिस्पशन फी		Late fees of Rs. 500/- pm would be levied from the date of expiry of 2nd year work permit, subject to and restricted to a maximum of 12 months. Failure to renew your work permit within 12 months will cease your membership and you will have to reapply for fresh membership all over again. दूसरे वर्ष के वर्क परमिट की समाप्ति की तारीख से रु 500/प्रति महीना लेट फीस लगाई जाएगी, जो अधिकतम 12 महीने तक सीमित और प्रतिबंधित होगी। 12 महीनों के भीतर अपने वर्क परमिट को नवीनीकृत करने में विफलता, आपकी सदस्यता समाप्त कर देगी और आपको फिर से नई सदस्यता के लिए, फिर से आवेदन करना होगा।
From 4th year onwards/चौथे वर्ष के बाद	Rs. 1200/- per annum/रु. 1200/- प्रति वर्ष	1 year/एक वर्ष	Late fees of Rs. 100/- per month would be levied after 12 months from the date of expiry, subject to and restricted to a maximum of 60 months only. Failure to renew your membership within 60 months will cease your membership and you will have to reapply for fresh membership all over again. कार्ड रिन्यू नहीं कराने की स्थिति में कार्ड की समाप्ति की तारीख से 12 महीने के बाद 100 रुपये प्रति महीना लेट फीस लगाई जाएगी, जो केवल अधिकतम 60 महीने तक सीमित और प्रतिबंधित होगी। 60 महीने के भीतर अपनी सदस्यता को नवीनीकृत करने में विफलता, आपकी सदस्यता समाप्त कर देगी और आपको फिर से नई सदस्यता के लिए, फिर से आवेदन करना होगा।

Note: I also understand that the above mentioned Fee structure is subject to change and the revised fee structure would be binding on me. It is my responsibility to renew my membership card on time and update personal information.

टिप्पणी: मैं यह भी मानता हूं कि उपरोक्त फी स्ट्रक्चर समय समय पर परिवर्तन /सुधार के अधिन है और वह सुधार मेरे ऊपर बंधनकारक होगा. यह मेरी जिम्मेदारी है कि मैं अपने सदस्यता कार्ड को समय पर नवीनीकृत करूं और व्यक्तिगत जानकारी को अपडेट करूं|

I agree to the Terms and Conditions / मैं नियमों और शर्तों से सहमत हूं

I am aware that this form is valid only for 6 months from the date of applying. Post 6 months I will have to reapply for work permit and fill fresh form all over again as per the then applicable rules. / मुझे पता है कि यह फॉर्म आवेदन करने की तारीख से केवल 6 महीने के लिए वैध है। 6 महीने के बाद मुझे वर्क परमिट के लिए फिर से आवेदन करना होगा और तत्कालीन लागू नियमों के अनुसार फिर से नया फॉर्म भरना होगा।

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